What is the sonographic appearance of hepatomegaly?

Hepatomegaly, or enlarged liver, typically appears sonographically as an enlarged structure that may also demonstrate hyperechogenicity, indicating a higher-than-normal echogenic response on ultrasound. This increase in echogenicity can be attributed to various factors, including fatty infiltration or other pathological liver changes that affect the liver tissue's density.

This condition reflects the liver's response to different disease processes, which often lead to changes in its internal echogenicity while it maintains its enlarged size. The characteristic appearance allows sonographers to distinguish it from other liver conditions that may not present with both size increase and changes in echogenicity. Monitoring these sonographic properties enhances the ability to evaluate and manage liver disease effectively.